NPI | 1538454673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415631) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 056287) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2022-06-30 |